Victorian Numbered Regulations

HERITAGE (GENERAL) REGULATIONS 2015 (SR NO 20 OF 2015) - SCHEDULE 4

Schedule 4—Notice of alterations for liturgical purposes

Regulation 11

Heritage Act 1995

Heritage (General) Regulations 2015

NOTICE OF ALTERATIONS FOR LITURGICAL PURPOSES

NAME OF REGISTERED *PLACE/OBJECT:

HERITAGE REGISTER NUMBER:

CHURCH:

ADDRESS:

OWNER DETAILS:

Name:

Address:

Telephone:

PROPERTY MANAGER/AGENT DETAILS (IF ANY):

Name:

Address:

Telephone:

A DETAILED DESCRIPTION OF ALTERATIONS:

[ including 3 copies of appropriately-scaled drawings to show the extent and nature of proposed works for the alterations ]

STATE LITURGICAL PURPOSE FOR WHICH THE ALTERATION IS REQUIRED:

DECLARATION:

I am an officer of the church authorised by the church to give notice that the alterations outlined above are required for liturgical purposes.

Name:

Address:

Position:

Signature:

Date:

*Strike out words which are inapplicable.